Provider Demographics
NPI:1215297478
Name:LIGHTHOUSE HOME HEALTH CARE, INC.
Entity type:Organization
Organization Name:LIGHTHOUSE HOME HEALTH CARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:AKOPIAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-429-0707
Mailing Address - Street 1:1527 19TH ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-4440
Mailing Address - Country:US
Mailing Address - Phone:661-374-4959
Mailing Address - Fax:888-247-2771
Practice Address - Street 1:1527 19TH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-4440
Practice Address - Country:US
Practice Address - Phone:661-374-4959
Practice Address - Fax:888-247-2771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-22
Last Update Date:2012-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health